Choi Sung Wook, Lee Tong Joo, Moon Kyoung Ho, Cho Kyu Jung, Lee Seung Yeol
Department of Orthopaedic Surgery, Inha University Hospital, 7-206, Shinheung-Dong 3-Ga, Joong-Gu, Incheon 400-711, Korea.
Am J Sports Med. 2008 May;36(5):961-5. doi: 10.1177/0363546507312643. Epub 2008 Feb 13.
The management of acute acromioclavicular (AC) joint dislocation is controversial.
The authors describe a surgical technique involving securing the clavicle to the coracoid process using suture anchors for the treatment of acute AC joint injury.
Case series; Level of evidence, 4.
Twenty patients were evaluated retrospectively, clinically, and radiographically, for a mean of 41.2 months.
At last follow-up, the mean Constant score for the 20 patients was 89.5. Eighteen patients (90%) maintained complete AC joint reduction in both anteroposterior and axillary views. Slight loss of reduction was noted in 2 patients (10%), but their functional outcomes were good. No fixation failure or pulling out of suture anchors was encountered.
This minimally invasive technique using a suture anchor for the treatment of acute AC dislocation is easily performed.
急性肩锁关节脱位的治疗存在争议。
作者描述了一种使用缝线锚钉将锁骨固定于喙突的手术技术，用于治疗急性肩锁关节损伤。
病例系列；证据等级，4级。
对20例患者进行回顾性评估，平均随访41.2个月，评估内容包括临床和影像学检查。
在最后一次随访时，20例患者的平均Constant评分89.5分。18例患者（90%）在前后位和腋位X线片上均保持肩锁关节完全复位。2例患者（10%）出现轻微复位丢失，但功能结果良好。未发生内固定失败或缝线锚钉拔出的情况。
这种使用缝线锚钉治疗急性肩锁关节脱位的微创技术操作简便。
